Tuesday, November 8, 2011

How can pulled hamstring injury be treated?

pulled hamstring stretchMost hamstring wounds heal without surgery. In rare cases, where there is a complete break with the ischium, or when important part of the ischial bone is jerky far, surgery is necessary. Essentially, all other cases in I-III tears' levels can be treated without surgery.

The goal of treatment is to restore muscle function and prevent scarring. Initially, treatment consists of rest, ice, compression, and elevation (RICE). Rest refers to avoid offending activities, and often includes immobilization. In severe cases, crutches or a brace can compress. Ice, compression and elevation all can help control the pain and swelling. A short course of nonsteroidal anti-inflammatory drugs like aspirin, ibuprofen (Advil, Medipren, Motrin, Nuprin, PediaCare Fever etc.) or naproxen (Anaprox, Naprelan, Naprosyn, Aleve) may help.

As soon as pain allows, it is important to begin a program of stretching and range of motion exercises, because prolonged immobilization and inactivity results in muscle shrinkage (atrophy) and scar tissue (fibrosis). Excessive scar tissue is incompatible with healthy muscle function. Atrophy and fibrosis are best avoided or reduced through a program of movement and stretching out at the beginning of the rehabilitation process.

It should be emphasized that early rehabilitation program does not mean a rapid return to normal activity. The kind of person who has a significant hamstring injury, it is generally difficult to keep patient out of the sports field playing. Relapse is extremely common and is often due to an avoidable premature return to sport. Relapse not only prolongs the recovery, it also increases the risk of permanent damage. People with these injuries must be informed at the beginning of the rehabilitation program on the risk of relapse.

After the pain and swelling have been controlled and the acceptable range of motion and flexibility has been achieved, a gradual strengthening program should follow next. After sufficient strength is back, then a gradual return to the desired activity is attempted. Complete return is usually possible only after regaining maximum flexibility and optimum resistance. Depending on the severity of injury, the entire rehabilitation process can take several months. Physiotherapists can help you guide the exercise program.

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